DR. MICHAEL CAROLLO PSYD
NPI 1306394184
Psychologist - Clinical in New York, NY

Q: What is Michael Carollo's NPI number?

The NPI number for Michael Carollo is 1306394184. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Q: What is Michael Carollo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Carollo was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2016

710 W 168TH ST FL 12, NEW YORK, NY 10032(212) 305-9758 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2021, Sep 14, 2021, Sep 12, 2020 and 4 more (7 updates tracked since 2016).

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About Dr. Michael Carollo Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL CAROLLO PSYD (NPI 1306394184) is an individual clinical provider in New York, New York, licensed in New York (023871) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1306394184

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL CAROLLOCredential: PSYD

Location Address710 W 168TH ST FL 12New York, NY 10032-3726

Mailing Address710 W 168th St Fl 12New York, NY 10032-3726 · (212) 729-0354

Phone(212) 305-9758

Sole ProprietorYes

Enumeration DateSeptember 21, 2016

Last NPPES UpdateDecember 9, 20217 updates tracked since enumeration

NPPES CertifiedDecember 9, 2021

✔ NPI 1306394184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 023871

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 023871 (NY)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 023871 (NY)

710 W 168TH ST FL 12, New York, NY 10032

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN KEITH CLINTON M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

710 W 168TH ST FL 12, COLUMBIA PSYCHIATRY SPECIALTY CLINICS
NEW YORK, NY 10032

New York County (646) 706-7369

DR. OHEMAA POKU PHD

Social Worker (Clinical)